Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03279 | Date 01/02/2019 |
| Token No | SM/19-20/19402 11/03/2020 | Serial | 065 Last Visit: 11/03/2020 |
| Patient Name | Mrs. TUMPA CHAKRABORTY | Contact No | 7449344868 |
| Address | CHATRA MANNA PARA,BAIDYABATY(M) | Age | 37 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||